EDGAR PINEDA (NPI# 1811999493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811999493 |
| Entity Type | Individual |
| Full Name | EDGAR PINEDA |
| Credential | MD |
| Practice Address |
1200 6th Ave N St Cloud MN 56303 |
| Practice Telephone | 3202525131 |
| Practice Fax Number | 3202402118 |
| Mailing Telephone | 3202525131 |
| Mailing Fax Number | 3202402118 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2011-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 33935 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 318202900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154847648 | Edgar Pineda Jr. | Counselor | 2046 Allen Ave # 100, Altadena, CA 91001 | 2017-08-17 |
| 1144699703 | Edgar Pineda | Counselor | 340 Nw 5th St, Box 710, Redmond, OR 97756-1869 | 2015-09-24 |
| Street Address |
1200 6TH AVE N |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306315437 | Stephanie D Schramel | Registered Nurse | 1200 6th Ave N, St Cloud, MN 56303-2735 | 2018-11-19 |
| 1013486141 | Lynn M Wellner | Registered Nurse | 1200 6th Ave N, St Cloud, MN 56303-2735 | 2018-11-19 |
| 1275568396 | Christa Brown-switzer | Internal Medicine | 1200 6th Ave N, Centracare Clinic, St Cloud, MN 56303 | 2006-07-11 |
| 1962487017 | Triniti Lyn Feldhege | Nurse Practitioner | 1200 6th Ave N, Centracare Clinic, St Cloud, MN 56303 | 2005-12-13 |
| 1215927835 | Thomas M Math | Internal Medicine | 1200 6th Ave N, St Cloud, MN 56303 | 2005-10-25 |
| 1346230034 | Darin David Willardsen | Internal Medicine | 1200 6th Ave N, St Cloud, MN 56303-2735 | 2005-10-25 |
| 1104816768 | Wesley Leland Lindquist | Internal Medicine | 1200 6th Ave N, Centracare Clinic, St Cloud, MN 56303 | 2005-10-25 |
| 1629068390 | Sharon J Ruggiero | Internal Medicine | 1200 6th Ave N, St Cloud, MN 56303 | 2005-10-25 |
| 1477542371 | Walter Lo Sia Su | Internal Medicine | 1200 6th Ave N, Centra Care Clinic, St Cloud, MN 56303-2735 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184854218 | Nathaniel John U. Castro | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | 2009-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174893275 | Albert Mowlem | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1980 County Road B W, Saint Paul, MN 55113-5447 | 2012-01-05 |
| 1962729327 | Eric Patrick Anderson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 910 E 26th St Ste 100-200, Minneapolis, MN 55404 | 2010-04-26 |
| 1700048766 | Richard Noel Smith | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 31646 County Road 1, La Crescent, MN 55947-4226 | 2008-06-30 |
| 1750579694 | John R Liddicoat | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7601 Northland Dr N, Minneapolis, MN 55428-4500 | 2007-10-04 |
| 1821288929 | Judah A Askew | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 920 E 28th St Ste 400, Minneapolis, MN 55407-1286 | 2007-07-26 |
| 1609991207 | Kalyan C. Vunnamadala | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 920 E 1st St Ste 303, Duluth, MN 55805-2225 | 2007-03-20 |
| 1205977634 | Bassam N. Shukrallah | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 800 E 28th St Ste 400, Minneapolis, MN 55407 | 2007-02-09 |
| 1275549784 | John F Grehan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 225 N Smith Ave, #100a, St Paul, MN 55102 | 2006-08-01 |
| 1427011352 | Vibhu R Kshettry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 920 E 28th St Ste 610, Minneapolis, MN 55407-1190 | 2006-04-11 |
| 1205896750 | Timothy J Kroshus | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 640 Jackson St - Mc 11503k, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | 2006-03-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.